Provider Demographics
NPI:1508852997
Name:VEENER, AIMEE E (OT)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:E
Last Name:VEENER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:E
Other - Last Name:OMMEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:1720 S CLIFF AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-2129
Mailing Address - Country:US
Mailing Address - Phone:605-334-5630
Mailing Address - Fax:605-332-5327
Practice Address - Street 1:1530 ROWE AVE
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:MN
Practice Address - Zip Code:56187-9700
Practice Address - Country:US
Practice Address - Phone:507-372-2232
Practice Address - Fax:507-372-7326
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN102832225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN31683OtherSIOUX VALLEY HEALTH PLANS
MN64-04252OtherMEDICA
MN64-04251OtherMEDICA
MN64-04250OtherMEDICA
MN140K4VEOtherBLUE CROSS BLUE SHIELD MN
MN64-05341OtherMEDICA
MN64-04253OtherMEDICA
MN1993134OtherARAZ
MN8718OtherAVERA HEALTH PLANS